| Culver Smile Dental | |
|
10814 Jefferson Blvd Suite G Culver City CA 90230-4994 | |
| (310) 204-3368 | |
| (310) 204-0550 |
| Full Name | Culver Smile Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10814 Jefferson Blvd, Culver City, California |
| Authorized Official Name and Position | Karla Samano (MANAGER) |
| Authorized Official Contact | 3102043368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Culver Smile Dental 10814 Jefferson Blvd Suite G Culver City CA 90230-4994 Ph: (310) 204-3368 | Culver Smile Dental 10814 Jefferson Blvd Suite G Culver City CA 90230-4994 Ph: (310) 204-3368 |
| NPI Number | 1003201914 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003201914 | NPI | - | NPPES |
| 1801285200 | Other | CA | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 44849 (California) | Primary |
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